慢性完全性闭塞病变的病情介绍：重要概念和技术-英文PPT.ppt

Chronic Total Occlusion(CTO) Case Presentation: Key Concepts and Techniques;Role of DES for CTO angioplaty Improve the prognosis?;Role of DES for CTO angioplaty;CTO angioplasty in DES era;SES for CTO lesions: CTO vs Non-CTO Cypher Post Marketing Study (PMS) in Japan;;：Non-CTO;;SES for CTO lesions: BMS vs SES Himeji CVC　Experience;CTO angioplasty:BMS vs SES;CTO angioplasty: BMS vs SES Angiographic results (6Mo-);Clinical events during follow-up period ;MACE free survival : CTO angioplasty BMS vs SES;Recent concepts and techniques for CTO angioplasty; 65 y.o M EAP DM, HT Retry Case (unsuccessful； 3 month before);;Control angiography ;Strategy: Retrograde or antegrade approach ? ;Wiring at LAD;Re-wiring and dilation with a 2.5mm balloon by the physician;Change the Operator;Parallel wire technique;Recent advance in CTO angioplasty: Procedural view ;K.S 64 y.o M EAP;K.S 64 y.o M EAP;Pre PCI; The stiffness of a guide wire : expressed as the resistance of the tip to bending (1cm from tip) against force (g);Comparison of Tip Stiffness(Guidewire) ;First Wire;LAD: Cranial view;Parallel guidewire technique:Advantage;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;O.T 64 y.o EAP;RAO view;Distal tip of the wire support catheter;POBA and Stenting;CTO : Strategy of procedure;Conclusions;;　In daily practice, more than 20% of treatments are complex lesions like in stent restenosis, etc.;Purpose;Study Design (Cypher PMS in Japan);;Enrollment Period 1st Year: 9/1/04～3/31/05 2nd Year: 4/1/05～9/30/05